A nurse assesses a client who is recovering from a hemorrhoidectomy that was done the day before. The nurse notes that the client has lower abdominal distention accompanied by dullness to percussion over the distended area.
Which action should the nurse take?
a.
Assess the client's heart rate and blood pressure.
b.
Determine when the client last voided.
c.
Ask if the client is experiencing flatus.
d.
Auscultate all quadrants of the client's abdomen.
Question 2After teaching a client who has a femoral hernia, the nurse assesses the client's understanding. Which statement indicates the client needs additional teaching related to the proper use of a truss?
a. I will put on the truss before I go to bed each night.
b. I'll put some powder under the truss to avoid skin irritation.
c. The truss will help my hernia because I can't have surgery.
d. If I have abdominal pain, I'll let my health care provider know right away.
Question 3After teaching a client with irritable bowel syndrome (IBS), a nurse assesses the client's understanding. Which menu selection indicates that the client correctly understands the dietary teaching?
a. Ham sandwich on white bread, cup of applesauce, glass of diet cola
b. Broiled chicken with brown rice, steamed broccoli, glass of apple juice
c. Grilled cheese sandwich, small banana, cup of hot tea with lemon
d. Baked tilapia, fresh green beans, cup of coffee with low-fat milk
Question 4A nurse is preparing to administer pantoprazole (Protonix) intravenously. What actions by the nurse are most appropriate? (Select all that apply.)
a. Administer the drug through a separate IV line.
b. Infuse pantoprazole using an IV pump.
c. Keep the drug in its original brown bag.
d. Take vital signs frequently during infusion.
e. Use an in-line IV filter when infusing.
Question 5A nurse working with a client who has possible gastritis assesses the client's gastrointestinal system. Which findings indicate a chronic condition as opposed to acute gastritis? (Select all that apply.)
a. Anorexia
b. Dyspepsia
c. Intolerance of fatty foods
d. Pernicious anemia
e. Nausea and vomiting
Question 6A client who had a partial gastrectomy has several expected nutritional problems. What actions by the nurse are best to promote better nutrition? (Select all that apply.)
a. Administer vitamin B12 injections.
b. Ask the provider about folic acid replacement.
c. Educate the client on enteral feedings.
d. Obtain consent for total parenteral nutrition.
e. Provide iron supplements for the client.
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